Uneven saddle bags and right buttock hangs lower with no support. Is this fixable? (photo)

Dear Kazuri,
I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit a board-certified plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Pending a formal evaluation, you may be a good candidate for a Revision Liposuction. You need a formal evaluation by an expert in body shaping and contouring to determine what is best.The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face. Cellulite should also be treated with a combination of Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin. Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Your picture doesn’t include your saddlebags. There’s a line drawn underneath the skin fold sometimes called the banana roll. You haven’t defined the problem very well.If you want to get an assessment then we need much better information. This starts by getting before and after pictures from your two previous surgeries. If you don’t have them then contact those offices and request your before and after pictures. You need to show before and after from each procedure. You need to use anatomically correct terminology both in describing what you don’t like and what you wish you could have. All people are asymmetrical. If this is related to natural asymmetry then that’s quite different than if it’s the outcome of the surgery. This is why before pictures are so important.No one is going to give you a single precise surgical intervention but instead give you vague answers like “you need to come in for an a valuation”.I give precise recommendations regularly on real self and I’m willing to put my name on the line and express my true opinion but I do so only for posts that are well written. Showing incomplete pictures and using terminology like “further botched”doesn’t help us very much.It would also behoove you to have the operative reports of the two procedures you’ve had.Without a clear and precise understanding of what the problem is any provider attempting further surgical intervention will be shooting in the dark and will most likely simply continue to make things worse.first things first. That means making an accurate assessment. In other words make a diagnosis of what the true problem or problems are.Once you understand what the problem is then you can begin to think of solutions.being botched may be a problem for you but it’s not something we have specific treatments for.having had too much fat removed from a single area is a situation we may be able to correct.I think you get my point. S will most likely be stated by the other doctors who answer you should focus and devote time and attention to in person consultations.please bring the information I listed above. You need all before and after pictures and operative reports.consider starting with 10 in person consultations with local senior board-certified plastic surgeons.expect to hear a variety of different recommendations. This hapens when people don’t know what the true underlying problem is.Best, Mats Hagstrom MD